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AICiII CERTIFICATE OF LIABILITY INSURANCE <br />DATEIMMDDYYYY) <br />11/21/2019 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MARSH USA INC <br />1717 Arch Street <br />Philadelphia, PA 19103 <br />Attn: Philadelphiazerts@marsh.com 1 Fax: (212) 948-0360 <br />CONTACT <br />NAME: <br />PHONE pIC Ni <br />AopnEss: <br />INSURE S AFFORDING COVERAGE <br />MAIC0 <br />INSURER A: Lexington Insurance Company <br />19437 <br />CN118025105-ALL-Pmf-1&20 <br />INSURED Allied Universal Topco, LLC <br />INSURER B: Greenwich Insurance Company <br />22322 <br />INSURER c : XL Insurance America <br />24554 <br />(See Attached for Additional Named Insureds) <br />161 Washington Street, Suite 600 <br />Conshohocken, PA 19428 <br />INSURER D : Indian Harbor Insurance Company <br />36940 <br />INSURER : XLSped al If1$VranCe Company <br />37885 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CLE-ODW7772-13 REVISION NUMBER: 8 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR ADDL SUER POLICY EFF - POLICY EXP <br />L TYPE OF INSURANCE POLICY NUMBER DD/YYYY - MMIDD/YYYY umrrs <br />A <br />X <br />COMMERCIAL GENERALLIASILITY <br />082695264 <br />11/01/2019 <br />11/01/2020 <br />EACH OCCURRENCE <br />S 10,000.000 <br />CIAIMS40ADE � OCCUR <br />DAMAGE RE N <br />PREMISES Ea NTED Ce <br />b 10000000 <br />MED EXP (Any mm person) <br />It <br />Processional Liabilhy is included <br />X <br />SIR$1,750,000 <br />PERSONAL& ADVINJURY <br />$ 10.000.000 <br />in the General Liability limit. <br />GEN'L <br />AGGREGATE OMIT APPLES PER: <br />GENERAL AGGREGATE <br />$ 10'amp00 <br />X <br />POLICY JEC LOC <br />PRODUCTS-COMP/OPAGG <br />$ 10,000.000 <br />S <br />OTHER <br />B <br />AUTOMOBILE <br />UASILri <br />RAD9437818-03 <br />W0112019 <br />11101/2020 <br />OMBINED SINGLE UNIT <br />Ea accident <br />S 5D00000 <br />X <br />BODILY INJURY (Per person) <br />S <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />X <br />BODILY INJURY (Pa accident) <br />S: <br />XHIRED <br />PROPERTY DAMAGE <br />Per. t <br />$ <br />X NON-0WNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA UAB <br />X <br />OCCUR <br />RES9437994 <br />11/0112019 <br />11101/2020 <br />EACH OCCURRENCE <br />S 10,000,DOO <br />X <br />AGGREGATE <br />$ 10,0WOM <br />EXCESS LUB <br />CLAIMS -MADE <br />EXCESS OF GENERAL LIABILITY <br />DEO <br />RETENTIONS <br />S. <br />C <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LUIBILITY <br />ANYPROPRIETORIPARTNER/EXECUTIVE YIN <br />OFFICEMMEMBERFXCLUDEOT ® <br />(Mardi in NH) <br />NIA <br />RWD3001203A3(AOS) <br />RWR3001204-03(WI ) <br />11/0112019 <br />11A)IMU2g <br />X STATUTE ERA <br />E.L. EACH ACCIDENT <br />$ 1000000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ i,WD,00D <br />X vs., describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L DISEASE - POLICY I <br />$ 1000 000 <br />A <br />PROFESSIONAL LIABILITY <br />D82695264 <br />11/0112019 <br />IV01/2020 <br />LIMIT <br />2,000,000 <br />COMBINED WITH GL LIMIT <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD f01. AMIflonal Remarks schedule. may be attached If more space is required) <br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured where required by written contract with respect to General Liability and Auto Liability Liability <br />coverage shall be primary and noncontributory where required by written contract. Waiver of subrogatbn is applicable where required by written contrail, <br />REVIEW <br />1a19:Sslalaf]\IiiPlVl�:�aJ■LTNT:tBL'II:IJC\n],ildPI�BIITIri6T.T�s210Is1iML'\$PJC <br />City of Santa Ana D� 4 2019 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Risk Management Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Rain ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />SAANT M. LAMRFRT AIITHORVED RERRFAENTAT VE <br />n 1BRR.9n1R ACORn CORPORATION. All rinhfe raeerved <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />